The Human Monkeypox Virus and Host Immunity: Emerging Diagnostic and Therapeutic Challenges.

Vijay Singh, Shailendra Dwivedi, Ruchika Agrawal, Sadashiv, Ghizal Fatima, Afroz Abidi
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Abstract

This article explores the Human Monkeypox Virus (MPV), a contagious virus that causes disease in both vertebrates and insects. It originated in Denmark in 1958 and expanded beyond Africa during the 1970s. The virus was initially detected in the United States in 2003 following the hospitalisation of a toddler who had been bitten by a prairie dog. The article examines the identification of the virus, its categorization into two genetic groups with dif-ferent levels of harmfulness, and its genetic changes over time due to specific influences. Additionally, it investigates the immunological reaction to MPXV, encompassing both the innate and adaptive systems. The essay also addresses the diagnostic difficulties presented by MPXV's resemblance to other orthopoxviruses and the progress made in molecular diagnos-tics. The paper analyses different therapeutic interventions, such as tecovirimat, an antiviral medication, and JYNNEOS, a vaccine, in terms of their efficacy, potential drawbacks, and the difficulties encountered in managing outbreaks. The future outlook emphasises the ne-cessity of inventive research methodologies, worldwide monitoring, and individualised med-ical treatments to counteract the dissemination of MPXV and alleviate its consequences on public health.

人类猴痘病毒与宿主免疫:新出现的诊断和治疗挑战。
本文探讨了人类猴痘病毒(MPV),这是一种可在脊椎动物和昆虫中致病的传染性病毒。它于 1958 年起源于丹麦,在 20 世纪 70 年代扩展到非洲以外的地区。2003 年,一名被草原犬咬伤的幼儿住院后,美国首次发现了这种病毒。文章研究了该病毒的鉴定、将其划分为两个具有不同危害程度的基因组,以及该病毒在特定影响下随时间发生的基因变化。此外,文章还研究了 MPXV 的免疫反应,包括先天和适应系统。文章还探讨了 MPXV 与其他矫形病毒相似所带来的诊断困难,以及分子诊断学所取得的进展。文章分析了不同的治疗干预措施,如抗病毒药物特考韦利马特(tecovirimat)和疫苗 JYNNEOS 的疗效、潜在缺点以及在控制疫情爆发时遇到的困难。对未来的展望强调了创新研究方法、全球监测和个性化药物治疗的必要性,以抵御 MPXV 的传播并减轻其对公共卫生的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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